17 research outputs found
A Study of Students’ and Teachers’ Beliefs about Learning English as a Second Language in Hindi Medium Schools in India
No full textThe present study is an exploration of beliefs about learning English held by English as a second Language (ESL) students and teachers from Jharkhand, India. The basic premise of the study is that the learners’ and the instructors’ beliefs about learning a language affect the learning approach, learning strategy use, personal motivation, the choice of instructional material and the instructional method. Thus, beliefs indirectly affect language learning. The assumption of this study is also that the participants in this study hold debilitative beliefs about English language learning. A mixed method research approach was used in this study. The quantitative data was collected through a survey questionnaire and the qualitative data were collected through the semi-structured interviews. A hundred and three ESL students and ten ESL teachers from Jharkhand participated in this study. The findings of this study showed that the ESL/EFL students and teachers of Jharkhand, India held beliefs, most of which are consonant with what core beliefs theory suggests contributes to effective second language acquisition. Beliefs about the role of natural talent, motivation, learning and communication strategies are consonant with what core beliefs presume to contribute effectively to second language learning. There are beliefs, however, relating to the role of grammar rule, vocabulary learning, excellent pronunciation, structural correctness, counterproductive to second language acquisition
Performance of Different Varieties of Spinach Beet (Beta vulgaris var. bengalensis) under Prayagraj Agro-Climatic Condition
No full textA field experiment was carried out at the Department of Horticulture, Naini Agricultural Institute, Sam Higginbottom University of Agriculture Technology and Sciences, Prayagraj, Uttar Pradesh during the Rabi 2021-2022 with a view to determine the performance of different varieties of spinach beet (Beta vulgaris var. bengalensis) for its growth, yield under Prayagraj climate and to work out the economics of various treatments. Under this experiment, overall 7 varieties were sown under tags T1 (Pusa Jyoti), T2 (All Green), T3 (All Green H-1), T4 (Green Iron), T5 (Palak- Ashirwad), T6 (Sudevi Green Spinach), T7 (Supriya) which was laid out in randomized block design (RBD) with three replications. From the present investigation, it was concluded that variety Pusa Jyoti performed best in respect of all parameters specially yield (64.44q/ha) at Prayagraj climatic condition. The benefit-Cost ratio (1.61) of variety Pusa Jyoti was found to be the highest therefore, it can be suggested to farmers to adapt it in cultivation practices
Histomorphological Study to find out the Etio-pathogenesis of Appendicectomy Specimens – A Cross Sectional Study in RIMS, Ranchi
No full textComparative study of laparoscopic appendicectomy versus open appendicectomy in appenidicitis patients
No full textLaparoscopy in patients with a clinical suspicion of acute appendicitis has not gained wide acceptance and its use remails controversial. Laparoscopic appendicectomy has been shown to be both feasible and safe in randomized comparisons with open appendicectomy. In addition to improved diagnostic accuracy, laparoscopic appendicectomy confers advantages in terms of fewer wound infection,less pain faster recovery and earlier return to work. However laparoscopic appendicectomy is more time consuming is associated with increased hospital costs. It has been argued that the advantages of laparoscopic appendicectomy achieved by experienced laparoscopic surgeons are marginal compared with open appendicectomy, which can also be performed by surgeons in training through a short, cosmetically acceptable incision with minimal complications and a short hospital stay. Although the most people have concluded that the laparoscopic technique is as least good as open technique, there has been considerable controversy as whether laparoscopy is superior. Aims and Objectives: In this study the different aspects, e.g. intra operative diagnosis, operating time and other advantages and complications of laparoscopic appendicectomy were observed and compared to that of open appendicectomy in our setup.Materials and Methods:The present prospective study has been carried out in the Department of General Surgery, Rajendra Institute Of Medical Sciences, Ranchi from September 2020 to August 2021. 50 patients presented in the hospital with the clinical features of acute appendicitis were selected for the study. These patients were divided into two groups in a random way, 25 patients underwent open surgery and 25 patients underwent laparoscopic surgery.Conclusion :Laparoscopic appendicectomy has the advantage to directly visualize the entire peritoneal cavity and can deal with other associated pathologies. Besides good cosmesis it has the disadvantage of being expensive and having increasing operating time. Complicated cases may have to converted to open procedure. Open appendicectomy is not only cheap and faster but also has good cosmesis in uncomplicated cases. Even the complicated cases can be managed better and has lower incidence of residual intra abdominal abscess. So to conclude open appendicectomy is safe, cost effective and remains the procedure of choice in our set up
Author Correction: SARS-CoV-2 antibody dynamics and transmission from community-wide serological testing in the Italian municipality of Vo’ (Nature Communications, (2021), 12, 1, (4383), 10.1038/s41467-021-24622-7)
No full textThe original version of this Article contained an error in the author affiliations. Affiliation 1 incorrectly read ‘MRC Centre for Global Infectious Disease Analysis and the Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK’ instead of the correct ‘MRC Centre for Global Infectious Disease Analysis and the Abdul Latif Jameel Institute for Disease and Emergency Analytics, School of Public Health, Imperial College London, London, UK’. The original version of this Article also contained an error in the Acknowledgements: ‘We acknowledge the Abdul Latif Jameel Institute for Disease and Emergency Analytics, funded by the Abdul Latif Jameel Foundation’ should have read ‘We acknowledge the Abdul Latif Jameel Institute for Disease and Emergency Analytics, funded by Community Jameel’. These errors have been corrected in both the PDF and HTML versions of the Article
“Comparative impact of body mass index, waist circumference, and a body shape index on surgical difficulty in laparoscopic cholecystectomy: A cross-sectional comparative study”
No full textBackground:Laparoscopic cholecystectomy (LC) is the preferred minimally invasive treatment for symptomatic gallstones, but surgical difficulty can vary, sometimes causing complications or conversion to open surgery. Traditional obesity assessment using Body Mass Index shows inconsistent predictive value, whereas waist circumference (WC) and A Body Shape Index (ABSI) may more accurately reflect body fat distribution and associated surgical risk.
Aim:
To comparatively assess the impact of BODY MASS INDEX, WC, and ABSI on surgical difficulty during LC.
Methods:
A cross-sectional comparative study was conducted over 2 years in the Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi. A total of 200 patients undergoing elective LC were enrolled. Preoperative anthropometric measurements (body mass index, WC, ABSI) were recorded. Intraoperative outcomes such as operative duration, complications, surgeon’s subjective difficulty scores, and conversion to open surgery were documented. Statistical analysis was performed using SPSS version 25. Chi-square test, Kruskal-Wallis test, and Binary Logistic Regression were applied. A p-value <0.05 was considered significant.
Results:
The majority of cases (61.5%) were classified as mild difficulty, 21.5% moderate, and 17% severe. WC was significantly associated with overall surgical difficulty (p=0.036) and physical stress experienced by the surgeon (p=0.014). Body mass index and ABSI did not show significant correlations with overall difficulty or specific surgical steps (all p > 0.05). Weight alone showed significant correlation with difficulty in approach to gallbladder (p=0.028), dissection of Calot’s triangle (p=0.029), and gallbladder removal/retrieval (p=0.042). Port insertion difficulty was not significantly associated with any parameter.
Conclusion:
WC was a more reliable predictor of surgical difficulty in LC compared to BODY MASS INDEX and ABSI. Weight also influenced the difficulty in specific steps.
Recommendations:
Preoperative assessment of WC should be incorporated into surgical planning for LC. Multicentric studies with larger cohorts are needed for validation
CROSS-SECTIONAL STUDY OF FACTORS PREDICTING CONVERSION FROM LAPAROSCOPIC TO OPEN CHOLECYSTECTOMY.
No full textBackground
Laparoscopic cholecystectomy (LC) has become the gold standard procedure for the surgical management of gallstone disease due to its minimally invasive nature and faster recovery. However, conversion to open cholecystectomy (OC) is occasionally required in technically difficult cases, “potentially leading to increased morbidity, prolonged hospitalization, and higher healthcare costs. Identifying the factors associated with such conversions is essential for optimizing surgical outcomes and patient safety.
Objective
This study aims to determine the demographic, clinical, sonographic, and intraoperative factors that predict conversion from laparoscopic to open cholecystectomy in patients undergoing elective surgery for gallbladder disease.
Methods
The General Surgery Department of Rajendra Institute of Medical Sciences (RIMS), Ranchi, undertook this cross-sectional observational study. Based on inclusion and exclusion criteria, 100 elective laparoscopic cholecystectomy patients were included. Age, sex, BMI, clinical history, ultrasonographic findings, and intraoperative observations were gathered using a structured proforma. Conversion to open cholecystectomy was the main result. Statistical analysis used chi-square, t-tests, and multivariate logistic regression with a significance level of p < 0.05.
Results
Total conversion was 18%. In particular, 30% of patients over 50, 40.9% of those with BMI >30, and 27.8% of those with acute cholecystitis converted. Sonography showed conversion in 36.7% with gallbladder wall thickness >3 mm and 38.9% with pericholecystic fluid. Distorted Calot's triangle converted 50% and dense adhesions 42.9% intraoperatively. Significant predictors include age >50 (p=0.01), BMI >30 (p=0.002), acute cholecystitis history (p=0.006), gallbladder wall thickness >3 mm (p=0.001), and extensive intraoperative adhesions (p<0.001). These findings indicate that preoperative and intraoperative factors greatly influence conversion.
Conclusion
Identification of high-risk patients through thorough preoperative evaluation can facilitate surgical planning and improve outcomes. Incorporating predictive models into routine clinical practice may help reduce unnecessary conversions and associated complications
Prognostic significance of admission inflammatory biomarkers (CRP/albumin and ferritin) in predicting mortality and hospital stay in acute pancreatitis- A cross-sectional study.
No full textBackground
Acute pancreatitis (AP) is an inflammatory condition that can range from mild to life-threatening, commonly presenting with abdominal pain, nausea, vomiting, and elevated serum lipase or amylase. Effective management requires a comprehensive assessment, with disease severity playing a crucial role in prognosis.
Objectives- This study aimed to evaluate the significance of serum ferritin and the CRP/albumin ratio in predicting the severity of AP.
Materials and methods
This cross-sectional study was conducted at Rajendra Institute of Medical Sciences (RIMS), Ranchi, from January 2022 to December 2022, enrolling 115 patients with acute pancreatitis. Serum levels of CRP, albumin, and ferritin were measured at admission and after 48 hours to assess their association with disease severity. Data were analyzed using SPSS version 24.0 with appropriate statistical methods.
Results
The mean age of participants was 45 ± 12 years, with 61% males and 39% females. The average body mass index (BMI) was 24.5 ± 3.2. The mean serum ferritin level was 350 ± 100 ng/mL, and the average CRP level was 80 ± 25 mg/L.
Conclusion
The study highlights that serum ferritin and the CRP/albumin ratio are useful biomarkers for assessing AP severity, showing strong correlations with disease severity and adverse outcomes.
Recommendation
Routine monitoring of serum ferritin and the CRP/albumin ratio is recommended for early risk assessment in patients with acute pancreatitis
Author Correction: Suppression of a SARS-CoV-2 outbreak in the Italian municipality of Vo’
No full text
